Burkholderia cepacia Vertebral Osteomyelitis Following Cesarean Section: Case Report and Review of the Literature

The Burkholderia cepacia complex (Bcc) initially emerged as an important opportunistic pathogen in patients with predisposing lung disease. Bcc infections outside the respiratory tract are less common, although their incidence has been increasing particularly in immunocompromised patients. We herei...

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Main Authors: Suha Kalash, Zeina Kanafani
Format: Article
Language:English
Published: Universidad Nacional Hermilio Valdizán de Huánuco 2023-06-01
Series:Microbes, Infection and Chemotherapy
Subjects:
Online Access:https://revistas.unheval.edu.pe/index.php/mic/article/view/1859
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author Suha Kalash
Zeina Kanafani
author_facet Suha Kalash
Zeina Kanafani
author_sort Suha Kalash
collection DOAJ
description The Burkholderia cepacia complex (Bcc) initially emerged as an important opportunistic pathogen in patients with predisposing lung disease. Bcc infections outside the respiratory tract are less common, although their incidence has been increasing particularly in immunocompromised patients. We herein describe the case of a healthy young woman who started experiencing low back pain 2 weeks after an uncomplicated cesarean section. She was found to have vertebral osteomyelitis at T12-L1. CT guided biopsy was performed, and cultures grew Bcc. She was treated with 3 weeks of meropenem and 5 weeks of oral trimethoprim-sulfamethoxazole with good response. No surgical intervention was warranted. We also performed a review of the literature on other existing reports. To the best of our knowledge, this is the first case of Bcc vertebral osteomyelitis in an immunocompetent patient following an obstetric procedure.
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spelling doaj.art-95205b5d9a8e4937963d59cb449518042023-06-22T14:01:57ZengUniversidad Nacional Hermilio Valdizán de HuánucoMicrobes, Infection and Chemotherapy2789-42742023-06-01310.54034/mic.e1859Burkholderia cepacia Vertebral Osteomyelitis Following Cesarean Section: Case Report and Review of the LiteratureSuha Kalash 0Zeina Kanafani1American University of Beirut Medical Center, Beirut, LebanonAmerican University of Beirut Medical Center, Beirut, Lebanon The Burkholderia cepacia complex (Bcc) initially emerged as an important opportunistic pathogen in patients with predisposing lung disease. Bcc infections outside the respiratory tract are less common, although their incidence has been increasing particularly in immunocompromised patients. We herein describe the case of a healthy young woman who started experiencing low back pain 2 weeks after an uncomplicated cesarean section. She was found to have vertebral osteomyelitis at T12-L1. CT guided biopsy was performed, and cultures grew Bcc. She was treated with 3 weeks of meropenem and 5 weeks of oral trimethoprim-sulfamethoxazole with good response. No surgical intervention was warranted. We also performed a review of the literature on other existing reports. To the best of our knowledge, this is the first case of Bcc vertebral osteomyelitis in an immunocompetent patient following an obstetric procedure. https://revistas.unheval.edu.pe/index.php/mic/article/view/1859burkholderia cepacia complexvertebral osteomyelitisspondylodiscitispostpartumcesarean section
spellingShingle Suha Kalash
Zeina Kanafani
Burkholderia cepacia Vertebral Osteomyelitis Following Cesarean Section: Case Report and Review of the Literature
Microbes, Infection and Chemotherapy
burkholderia cepacia complex
vertebral osteomyelitis
spondylodiscitis
postpartum
cesarean section
title Burkholderia cepacia Vertebral Osteomyelitis Following Cesarean Section: Case Report and Review of the Literature
title_full Burkholderia cepacia Vertebral Osteomyelitis Following Cesarean Section: Case Report and Review of the Literature
title_fullStr Burkholderia cepacia Vertebral Osteomyelitis Following Cesarean Section: Case Report and Review of the Literature
title_full_unstemmed Burkholderia cepacia Vertebral Osteomyelitis Following Cesarean Section: Case Report and Review of the Literature
title_short Burkholderia cepacia Vertebral Osteomyelitis Following Cesarean Section: Case Report and Review of the Literature
title_sort burkholderia cepacia vertebral osteomyelitis following cesarean section case report and review of the literature
topic burkholderia cepacia complex
vertebral osteomyelitis
spondylodiscitis
postpartum
cesarean section
url https://revistas.unheval.edu.pe/index.php/mic/article/view/1859
work_keys_str_mv AT suhakalash burkholderiacepaciavertebralosteomyelitisfollowingcesareansectioncasereportandreviewoftheliterature
AT zeinakanafani burkholderiacepaciavertebralosteomyelitisfollowingcesareansectioncasereportandreviewoftheliterature